IndividualActive
Edward Mathews, ISAS
NPI 1861844094 · Addiction (Substance Use Disorder) Counselor · Idaho Falls, ID
Provider details
- NPI number
- 1861844094
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- ISAS
- Sex
- Male
- Sole proprietor
- Yes
- License
- ISAS-10328 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
482 Constitution Way
Suite 110
Idaho Falls, ID 83402-3565
Phone: (208) 932-4493
Approximate (ZIP-level) locationGet directions
Mailing address
482 Constitution Way
Idaho Falls, ID 83402-3565
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2016-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.